Endovascular treatment of intracranial aneurysms: Long-term follow-up

A. K. Gupta, H. A. Sonwalkar, S. Purkayastha, Krishnamoorthy Thamburaj, N. K. Bodhey, T. R. Kapilamoorthy, C. Kesavadas, B. Thomas

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Endovascular treatment of intracranial aneurysms is increasingly used and has evolved as an alternative to surgical clipping. However, its long-term efficacy has yet to be established. This retrospective hospital based (tertiary teaching hospital) study aimed to identify factors that might be important in predicting initial efficacy of this treatment and a long-term follow-up to study the clinical and angiographic results of treated aneurysms. A total of 80 aneurysms in 78 patients were treated and analyzed, and the percentage of occlusion calculated. Overall, 51/80 (64%) cases were treated with selective endovascular coil occlusion and 29/80 (36%) by parent artery occlusion. The shape of the aneurysm rest was noted on the immediate post treatment and follow-up angiograms. Immediate and follow-up clinical status was also noted using the Glasgow outcome scale. The clinical and radiological changes on follow-up were assessed and possible factors involved were analyzed. Of the 50 patients of intracranial aneurysms that underwent selective aneurysm coiling, good immediate outcome (Glasgow outcome scale 1 and 2) was seen in 36/50 (72%) cases. Narrow necked aneurysms showed a good immediate result (90-100% packing) in all cases 28/28 (100%). Amongst the wide necked aneurysms, good packing (90-100%) was achieved in 17/23 (73%) cases. Amongst the cases treated with parent artery occlusion, complete occlusion was noted in 20/29 (69%) cases. No subarachnoid hemorrhage was seen in any of the followed up cases of coiled aneurysms. A statistically significant relationship was noted between aneurysm neck size and immediate angiographic outcome. Long-term angiographic recurrences were found more often in large aneurysms. Endovascular treatment of intracranial aneurysms is a safe and effective treatment modality that offers protection from recurrent subarachnoid hemorrhage.

Original languageEnglish (US)
Pages (from-to)339-347
Number of pages9
JournalNeuroradiology Journal
Volume19
Issue number3
DOIs
StatePublished - Jan 1 2006

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Intracranial Aneurysm
Aneurysm
Glasgow Outcome Scale
Therapeutics
Subarachnoid Hemorrhage
Arteries
Tertiary Care Centers
Teaching Hospitals
Angiography
Recurrence

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

Cite this

Gupta, A. K., Sonwalkar, H. A., Purkayastha, S., Thamburaj, K., Bodhey, N. K., Kapilamoorthy, T. R., ... Thomas, B. (2006). Endovascular treatment of intracranial aneurysms: Long-term follow-up. Neuroradiology Journal, 19(3), 339-347. https://doi.org/10.1177/197140090601900312
Gupta, A. K. ; Sonwalkar, H. A. ; Purkayastha, S. ; Thamburaj, Krishnamoorthy ; Bodhey, N. K. ; Kapilamoorthy, T. R. ; Kesavadas, C. ; Thomas, B. / Endovascular treatment of intracranial aneurysms : Long-term follow-up. In: Neuroradiology Journal. 2006 ; Vol. 19, No. 3. pp. 339-347.
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Gupta, AK, Sonwalkar, HA, Purkayastha, S, Thamburaj, K, Bodhey, NK, Kapilamoorthy, TR, Kesavadas, C & Thomas, B 2006, 'Endovascular treatment of intracranial aneurysms: Long-term follow-up', Neuroradiology Journal, vol. 19, no. 3, pp. 339-347. https://doi.org/10.1177/197140090601900312

Endovascular treatment of intracranial aneurysms : Long-term follow-up. / Gupta, A. K.; Sonwalkar, H. A.; Purkayastha, S.; Thamburaj, Krishnamoorthy; Bodhey, N. K.; Kapilamoorthy, T. R.; Kesavadas, C.; Thomas, B.

In: Neuroradiology Journal, Vol. 19, No. 3, 01.01.2006, p. 339-347.

Research output: Contribution to journalArticle

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AU - Sonwalkar, H. A.

AU - Purkayastha, S.

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AU - Bodhey, N. K.

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Gupta AK, Sonwalkar HA, Purkayastha S, Thamburaj K, Bodhey NK, Kapilamoorthy TR et al. Endovascular treatment of intracranial aneurysms: Long-term follow-up. Neuroradiology Journal. 2006 Jan 1;19(3):339-347. https://doi.org/10.1177/197140090601900312